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�i <br /> ��a, <br /> � <br /> 1heErergreen ������' 1^�'O� i <br /> GTY OF V V <br /> everett P�RMIT pERMIT NO. 06960 <br /> GITY HALL 259�87d5 <br /> EVERETT.WA 90207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWN[A MNILADDi1E55 GITV LP PNOYE <br /> James E. Deno 13313 Kenwanda Dr. Snohomish 98290 568-9491 <br /> aRCHITEGi OR DCSiGNER MAiL RpDRE55 LITY ZIP PMONE <br /> GENEFALUJNiRACTOR E1AI�ApORESS GITY ZIG PH NE L' NSE� <br /> Landscaping, Inc. 5409 - 180th SE Bothell 98011 981-9000 233-0�-LA-ND- f <br /> 4Z44 HL <br /> M[CMANICAL CONTRAGTOA � MR4 qD�RE55 CI'Y 21P PNOut LICENSE I <br /> PWMBINGCONTRACTOR MAILADOfiESS CRY ZIP PHONE UGENSE/ <br /> CLA55OF WJPK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR S�DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> = zZrJ�.O� � <br /> DESCRi9E WOPK <br /> D�nolish residence <br /> PROi'OSED USE 0�BUILDiNG <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP� <br /> i[ca�oescaienorvorvaorentv�5�oweE�owoaarnc�+rouacovie5l PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. i <br /> AL� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 3 e�ocK 81� ov Div. E Plat of Everett TYPE OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED � <br /> Vlm 4 of Plats pg 23 Snohomish Co. Wash. HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PPESUME T GIVE AUTHORITY TO V OL OR CANCEL THE PRO� <br /> VISIONS ANY OTHER STATE R CAL LAW REGULATING <br /> CONST ION OR THE PE CE OF CONSTRUCTION. � <br /> SiG4<IUA[ J� .. 1FACOROR�UTHORiZ � Q DAiC <br /> JOO ADpRE55 <br /> 3907 Broadway, Evreett 12/18/RO <br /> PLUMBING ANICAL <br /> NL. TYPE OF FIXTURE OR ITEM FEE N0. TYP OF EQUIPMENT FEE <br /> WAT[R CIOSET ROI�ET) AIR COND UIJITS—H P [A I <br /> BATIi7U8 REFPIGCRRTION UNITS—H P EA _ , <br /> LAVATORY(WASH BASIN) �OILERS—H P.EA <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> K11GH[N SINK B DISP. fORCED AIR SYSTEMS—B T U. M EA. � <br /> OISHWASHER WALLHEATlfiS—BT.U. M , <br /> LAUNDFV iRAV UNIT H[ATERS—8 TL. M <br /> CIOTHES WASNER EVAPORATN[CAOlERS <br /> WATFR HEATER CLOTH[5 DRYERS <br /> UFINAL VENTI�ATION FAN <br /> DRINKING FOUWTAIN RANGE HOOD � <br /> FLOOR DR�IN AIR HANDLING UNIT— CF.M <br /> VAWUM HREAKERS STOVE <br /> ROOF DPAINS—AP.INI[ADFRS METAL FlREPLACE 8 CHIMNEV <br /> SINK�5[RVICE— �AR.ETC� <br /> SUB TOTAL SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTALFEE f I <br /> SIDE YARU SETBACK SiRC6i SLT�ACK REAfl YARD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE i <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SI7E <br /> Gv[5 i:�NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANC�GNOUP NO.OF DWELL�NG UNITS i <br /> BUILOING E <br /> S�ZE OF BLDG. NO.OF SiORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FlRE ZONE BASEIAENT FlRE SPRINKlERS MECHANICAL <br /> REOUIRED <br /> flvES IiNO I <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTAL CNECK LIST p�ryq�Ty U B G. � <br /> SEC.3031a1 <br /> 2. BUILDING PLANS <br /> TOTAL OO OO <br /> 3. FIRE HYDRANT <br /> n. FlRE PROTECTION SVSTEM PEHMIT VALIDATION <br /> 1YHEIJ PROPERLV VAl IGAIED(�N THIS SPACE)THIS IS YOUP PERMIT <br /> 5. GRADING � ? 1 � g J O O. O O T� � <br /> G.`DRAINAGE <br /> Z ENVIRONMENTAL IMPACT STATEMENT � • <br /> , 8. HLALTH DISTI7ICT � � ,'; fl � �'(;I� I' <br /> APPLICATION ACC.BY PLANS CHECNED BV APPR.POR ISSUANCE 0� , <br /> U <br /> �-- . <br />